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●Individual Differences on Growth and
Development of Children
An influence of metabolism ,
hormone, the properties of bone,
dietary life, nutrition, and living and
social environment makes
differences on growth and
development of children.
1
●
Growth Disorder
Short height
Tall height
Early sexual maturity
Obesity
Underweight
2
● The diseases and conditions for
Growth Disorder
1. Endocrine diseases : Growth hormone deficiency
2. Bone system diseases :achondroplasia
3. Metabolism diseases :rickets
4. Constitutional growth disorder: inheritance growth disorder
5. Chronic diseases : malnutrition
6. Chromosome disorder:Down’s syndrome
7. Deformity:Russel-silver syndrome
8. Psychosomatic Growth Disorder :child neglect or abuse
3
● The diseases and conditions for
underweight
1. Environmental factor:
poverty, nutritional misunderstand, infection, etc.
2. Chronic diseases
3. Endocrine diseases
4. Inheritance metabolism diseases
5. Anorexia nervosa
4
Cross-Sectional Standard Growth Chart
Height(cm)
boy
average
Height
Weight(Kg)
average
Weight
AGE(year)
5
Data in 2000
● Rohrer Index
=weight (kg)/( height (cm)3)x107
● Rohrer index
=weight (kg)/( height (m)3)x10
Rohrer index
Useful to calculate for obesity level of
children
6
● Rohrer index
ex.
height :135cm, weight :30kg
3
Rohrer index =30÷1.35 ×10
=30/2.46×10
=122(Normal Weight)
7
● Rohrer Index
Severe Underweight
under 100
Underweight
100<115
Normal Weight
115<145
Overweight
145<159
Obese
over 160
8
● Kaup Index (BMI)
= ( weight (g)/ height (cm)2)x10
● Kaup index (BMI)
=weight (g)/ height (cm) / height (cm)x10
Kaup index (BMI)
Useful to calculate for obesity level of
small children and adult
9
● Kaup index
ex.
height :100cm
Kaup index
(1m), weight :20kg
=20000÷1002×10
=20000/10000×10
=20(Normal Weight)
BMI
=20÷12
=20/1
=20(Normal Weight)
10
● Kaup index (for small children)
Severe Underweight
< 13
Underweight
13 <15
Normal Weight
15
Overweight
18 < 20
Obese
20 <
<
18
11
●BMI (for adult)
Underweight
<
18.5
Normal Weight
18.5 < 25
Overweight
25
< 30
Obese
30
<
12